scholarly journals The use of botulinum toxin as a way of treatment for gingival smile: case report

2016 ◽  
Vol 3 (5) ◽  
pp. 798
Author(s):  
Cristiane Romani Pedro Antônio Brum ◽  
Roberto Dela Coleta ◽  
Nadia Lunardi ◽  
Eloisa Marcantonio Boeck ◽  
Karina Eiras Dela Coleta Pizzol

Gingival smile is defined as excessive gum exposition. Its etiology may be related to several factors, among them a maxillary vertical excess, superior dentoalveolar protrusion, changed passive extrusion and or eruption of anterior-superior teeth and hyperactivity of superior lip lift muscle.  In cases in which the etiological factor is from muscle, the use of Botulinum toxin typo A (BTX-A) should be indicated. To highlight the benefits obtained with therapeutic use of this substance, the authors describe a clinical case of a female young patient, in which the Botox® was applied to correct gingival smile as a way to complement the orthodontic treatment. The applications were performed in two lateral points on the nose wing in a single session. The result was very satisfactory and there was no need additional dose. The authors concluded that BTX-A is a safe option and minimum invasive for treatment of gingival smile when provoked by muscle hypercontraction. Its side effects are rare with discrete discomfort during the application.

2021 ◽  
Vol 10 (8) ◽  
pp. 1277-1280
Author(s):  
Sávio Morato de Lacerda Gontijo ◽  
Laura Costa Gonçalves ◽  
Fernanda Novais Arantes ◽  
Francisca Daniele Jardilino Silami ◽  
João Batista Novaes Júnior ◽  
...  

Objective: This case report aims to present the microdontia treatment of tooth 35 through pre-prosthetic orthodontics, followed by re-anatomization with an indirect restoration. Case report: A 21-year-old female patient presented with microdontia in tooth 35, with a distalized and vestibularized crown. In addition, tooth 34 was gyroverted with mesial diastema. Orthodontic mechanics with segmented arch were used to centralize tooth 35 in the alveolar ridge, close the diastema in the mesial of tooth 34, and correct its gyroversion. For lingualization of tooth 35, a first-order fold (in set) was performed, and for mesialization, an open-coil spring was used between teeth 35 and 36. A closed-coil spring was used to delimit the movement of tooth 35 to mesial. The force applied by the open spring for mesialization of tooth 35 was transmitted to tooth 34, through the closed spring, resulting in its mesialization; this, closed the diastema between teeth 33 and 34 and corrected the gyroversion. Subsequently, the coronary preparation was performed with diamond tips 1014 and 3146, and confection of the temporary crown in acrylic resin. For the ceramic system, IPS™ e.max Press was used. The ceramic crown was luting using the adhesive technique, followed by light curing for 40 seconds on each face of the tooth. Conclusion: It can be concluded that the re-anatomization of a small tooth should be the first treatment option. However, pre-prosthetic orthodontic treatment may be necessary.


2016 ◽  
Vol 21 (5) ◽  
pp. 95-102
Author(s):  
Fernando Gianzanti Peres ◽  
◽  
Luis Eduardo Marques Padovan ◽  
Leandro Eduardo Kluppel ◽  
Gustavo Calvalcanti Albuquerque ◽  
...  

ABSTRACT Introduction: Temporary anchorage devices (TADs) have been developed to be used as direct adjuncts in orthodontic treatment and have facilitated treatment of more complex orthodontic cases, including patients with dental impaction. Objectives: This clinical case reports the applicability of TADs in the orthodontic treatment of a patient with impacted mandibular second molars. Surgical and orthodontic procedures related to the use of miniplates were also discussed in this study. Conclusions: The use of temporary anchorage devices, such as miniplates, can be suggested as an alternative to treat patients with impacted mandibular second molars.


Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Luciana Carvalho Horta ◽  
Fabia Beraldo Silveira ◽  
Bruno Henrique Alvarenga ◽  
Anna Carolina Pereira Jácome ◽  
Juliana Cristina de Oliveira Lima

Desmoid tumors are neoplasms that originate from fascial or musculoaponeurotic structures, constituted by fibroblast proliferation. It has no metastatic or differentiation potential, but is locally aggressive and has high rates of recurrence even after complete resection. It represents 0.03% of all neoplasms. This study aimed at reporting a rare clinical case of a young patient diagnosed with a desmoid tumor of the breast after a silicone implant surgery.


2020 ◽  
Vol 8 (2) ◽  
pp. 59
Author(s):  
Luísa Bandeira Lopes ◽  
Rodrigo Themudo ◽  
João Botelho ◽  
Vanessa Machado

Rhabdomyosarcoma is one of the most common soft-tissue sarcomas in children. The therapy for this condition has evolved significantly over recent decades, as has survival rates. Nevertheless, multiagent chemotherapy, radiation therapy, surgical resection or a combination of these modalities still have to be performed. This case report presents a 16-year-old boy with oral and dental effects after rhabdomyosarcoma treatment, diagnosed at the age of 4 years old. This report highlights the key role of dentists in the clinical management of rhabdomyosarcoma cases before, during and after treatment, and its potential side effects.


2018 ◽  
Vol 6 (10) ◽  
pp. 1882-1887 ◽  
Author(s):  
Heba M. Dehis ◽  
Mona S. Fayed

BACKGROUND: Teeth impaction has become a common problem faced by orthodontic clinicians with the greatest incidence reported among third molars and maxillary canines. The great challenge lies in successfully treating these cases without deleteriously affecting the impacted as well as adjacent teeth while achieving acceptable functional and esthetic results. Several etiological factors have been associated with impactions including the presence of an odontome which is an asymptomatic odontogenic hamartomatous lesion. CASE REPORT: This article presents a detailed orthodontic assessment and treatment of a 16 years old female having impacted right maxillary lateral incisor and canine caused by complex odontome. CONCLUSION: Successful orthodontic treatment of multiple impactions can be achieved with minimal side effects even when odontomes are associated, through 3D radiographic examination, detailed evaluation as well as proper biomechanical control.


Author(s):  
E. Krieger ◽  
B. d‘Hoedt ◽  
H. Scheller ◽  
C. Jacobs ◽  
C. Walter ◽  
...  

2015 ◽  
Vol 14 (2) ◽  
pp. 93-97
Author(s):  
Raluca Ileana Nistor ◽  

Current diagnostic standards do not answer all questions regarding the etiology of ischemic stroke. Nowadays, the cryptogenic ischemic stroke (without an obvious cause) still represents 20-30% of all acute strokes. In the end, this terminology is used in the absence of a definite medical and scientific diagnosis. The clinical case that will be presented highlights how difficult the differential diagnosis is regarding an ischemic stroke in a young patient, apparently healthy before the acute neurologic event.


Author(s):  
Amanda Carolina COSTA ◽  
Bárbara Salles do NASCIMENTO ◽  
Jéssica Luciana Cruz SILVA ◽  
Alice Machado Carvalho SANTOS ◽  
Suzana Coulaud da Costa CRUZ ◽  
...  

ABSTRACT Fused teeth are a developmental anomaly involving the union of two dental germs at the crown, root or pulp. This type of anomaly occurs during intraosseous development, resulting in a morphologically irregular tooth that can affect both the primary and permanent dentition. Clinical problems involving esthetics, a lack of space and greater susceptibility to caries are often associated with fused teeth. This type of anomaly is easily confused with dental twinning, which has similar clinical features but emerges from a single dental germ. The aim of the present study was to report a clinical case of the fusion of two deciduous mandibular incisors, describe prospects for treating this anomaly and discuss its repercussions during the development of the dentition. Extraction of the fused tooth was performed and orthodontic treatment was recommended for esthetic and functional improvements. Integrated planning involving both Pediatric Dentistry and Orthodontics provided a better treatment option.


2020 ◽  
Vol 7 (10) ◽  
pp. 206-212
Author(s):  
Eduardo Fernandes Marques ◽  
Anna Clara Ferreira Borges ◽  
Diana Leão Rodrigues Frota ◽  
Rodrigo Rodrigues Ventura e Larissa Coelho Bitencourt

2021 ◽  
Vol 10 (14) ◽  
pp. e39101421787
Author(s):  
Matheus Almeida Rodrigues ◽  
Marcely Reis da Silva ◽  
Adolfo de Matos de Carvalho ◽  
Caio Cesar Souza ◽  
Cesar Augusto Perini Rosas ◽  
...  

Invasive cervical resorption (ICR) is an insidious, aggressive, and asymptomatic form that can lead to destruction and even loss of the dental unit. ICR is somewhat uncommon, but it can affect any tooth, with the maxillary central incisors being the most affected. Even after numerous studies, the etiology is still unclear. There are some predisposing factors, including orthodontic treatment, trauma, and internal tooth whitening, which may occur in isolation or in conjunction with each other. This article reports a clinical case of ICR class 3 with a rosy discoloration at the cervical margin and the presence of a fistula associated with a history of trauma. This suspicion was raised after radiographic examination and confirmed by cone-beam computed tomography (CBCT), with treatment via an internal approach and endodontic treatment involving debridement of the resorptive areas and filling with a bioceramic repair material and suturing. After treatment, the patient remained asymptomatic, but the fistula was no longer present. Prospective observation at 10 months showed bone formation in the middle third and well-adapted material in the cervical region, with no resorptive tissue present.


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